PRINCIPLES OF MANAGEMENT OF PATIENTS WITH POST-STROKE SEIZURES

Abstract

Statistically, in 1 in 10 adult patients, first-onset epilepsy is associated with a history of stroke, and this aetiology occurs in 1 in 4 patients aged 65 years and older with epilepsy. Incidence rates are higher in patients with intracranial, that is, intracerebral or subarachnoid haemorrhage. Haemorrhage increases the risk of seizures by up to 10- 16%. The risk of subsequent development of epilepsy is highest in patients with remote and sequelae of ischaemic stroke. Classification of seizures in stroke and their frequency Seizures develop in different stages of stroke. Depending on the time of onset, they can be divided into the following types: precursor seizures, early and late seizures. Unfortunately, there is currently no consensus among neurologists about the timing of the onset of these seizures . The most common definitions are that early attacks are those that occurred in the first 24-48 h, the first week, the first 2 weeks, and 1 month from the onset of stroke.